Organization
KELLEY A. GILLROY-GILL
Active
Other names
Cascade Foot and Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLEY ANN GILLROY-GILL D.P.M. (PODIATRIST)
(623) 238-4022
Entity
Organization
Contact information
Practice address
165 LILLY RD NE, OLYMPIA, WA 98506-5086
(360) 438-9092
(360) 438-3906
Mailing address
165 LILLY RD NE STE A, OLYMPIA, WA 98506-5086
(360) 438-9092
(360) 438-3906
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 60507941
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7392670001
PTAN
WA
Enumeration date
03/24/2015
Last updated
05/25/2016
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